Individual provider Active NPI

Mallory Fralin, PHARMD

  • Pharmacist
  • Rocky Mount, VA
National Provider Identifier
1679160642
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
02202210014 Issued in VA
Practice address
485 Old Franklin Tpke
Rocky Mount, VA 24151-5502
Phone
(540) 483-1178
Fax
(540) 483-2933
NPI assigned
Dec 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 02202210014 VA Primary

Addresses

Primary practice location

485 Old Franklin Tpke
Rocky Mount, VA 24151-5502

Mailing address

485 Old Franklin Tpke
Rocky Mount, VA 24151-5502
Phone (540) 483-1178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
02202210014VAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1679160642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 OLD FRANKLIN TPKE",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241515502",
            "telephone_number": "540-483-1178",
            "fax_number": "540-483-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 OLD FRANKLIN TPKE",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241515502",
            "telephone_number": "540-483-1178",
            "fax_number": "540-483-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALIN",
        "first_name": "MALLORY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "02202210014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.